Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10070 | Date 10/09/2021 |
| Token No | SM/21-22/4963 10/09/2021 | Serial | 019 Last Visit: 10/09/2025 |
| Patient Name | Mr. SK IQBAL HOSSAIN | Contact No | 7595918601 |
| Address | M.D LANE SERAMPORE | Age | 28 Years,8 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||